<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <title>添加我的治疗史</title>
    <script src="../../js/common.js"></script>
    <link rel="stylesheet" href="../../css/common.css">
    <link rel="stylesheet" href="../../css/patient/MyDepartment.css">
    <link rel="stylesheet" href="../../css/patient/addHistory.css">
</head>

<body>
    <div class="wrapper">
        <div class='content'>
            <div class='chooseFirst choose '>
                <select name="chooseHospital" id="chooseHospital" >
                    <option value="选择医院">选择医院</option>
                    <option value="上海清沁医疗美容门诊部">上海清沁医疗美容门诊部</option>
                    <option value="上海国际医学中心">上海国际医学中心</option>
                    <option value="杭州市第一人民医院">杭州市第一人民医院</option>
                    <option value="浙江医学院第二附属医院">浙江医学院第二附属医院</option>
                </select>
            </div>
            <div class='choose'>
                <select name="selectionSection" id="selectionSection">
                    <option value="选择科室">选择科室</option>
                    <option value="皮肤科">皮肤科</option>
                    <option value="普外科">普外科</option>
                    <option value="整形美容科">整形美容科</option>
                    <option value="皮外科">皮外科</option>
                </select>
            </div>
            <div  class='choose'>
                <select name="chooseDoctor" id="chooseDoctor" >
                    <option value="选择医生">选择医生</option>
                    <option value="李一">李一</option>
                    <option value="张三">张三</option>
                </select>
            </div>
            <div  class='choose'>
                <select name="choiceTreatment" id="choiceTreatment">
                    <option value="选择治疗方式">选择治疗方式</option>
                    <option value="激光">激光</option>
                    <option value="微创">微创</option>
                    <option value="手术">手术</option>
                </select>
            </div>
            <div class='instructions'>
                <textarea  placeholder="填写说明" class='textarea' name="name"></textarea>
            </div>

            <!-- 上传照片 -->
            <div class="upload_pictures">
                <ul class='clearfix'>
                    <li class="fl right upload_o">
                        <img src="../../images/doctor/visitingRecord/yun.png" alt="">
                        <p>上传照片</p>
                    </li>
                    <li class="fl upload_s">
                        <img src="../../images/doctor/visitingRecord/yun.png" alt="">
                        <p>上传照片</p>
                    </li>
                    <li class="fl right bto upload_t">
                        <img src="../../images/doctor/visitingRecord/yun.png" alt="">
                        <p>上传照片</p>
                    </li>
                    <li class="fl bto upload_f">
                        <img src="../../images/doctor/visitingRecord/yun.png" alt="">
                        <p>上传照片</p>
                    </li>
                </ul>
                <div class='submit'>
                    <a href="javscript:;">确认提交</a>
                </div>
            </div>
        </div>
    </div>
</body>

</html>
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